ROBIN GENE VANDEVENTER NPI 1114401080

NPI Information

NPI: 1114401080
Provider Name: ROBIN GENE VANDEVENTER
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
2200 LAKE AVE STE 225
FORT WAYNE, IN
ZIP 46805
Phone: (260) 436-0932
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Robin Gene Vandeventer is a counselor in Fort Wayne, IN. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Robin Gene Vandeventer NPI is 1114401080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2200 LAKE AVE STE 225
FORT WAYNE, IN
ZIP 46805-364
Phone: (260) 436-0932
Fax: (260) 436-1185

The enumeration date for this NPI number is 9/18/2018 and was last updated on 9/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		88000671A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	14329568	OTHER		CAQH
2	88000671A	OTHER	INDIANA	MENTAL HEALTH ASSOCIATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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